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Insurance Verifier FT-Days

KPC GLOBAL MEDICAL CENTERS INC.
Santa Ana, CA Full Time
POSTED ON 2/7/2025
AVAILABLE BEFORE 4/6/2025
Insurance Verifier -
Santa Ana, CA

Job Overview

The Insurance Verifier ensures insurance benefits on all admissions and encounters to determine the level of insurance coverage for compliance with hospital admission policy. Obtains authorizations and pre-certifications in compliance with third party payers, State or Federal agencies. Collaborates with other departments as need to ensure proper reimbursement. Works with Case managers to ensure all in-house patients have current certifications and meet criteria for admission. Notifies patients of non-covered services and offers alternatives or advises patient of financial requirements for admission or treatment. Informs patients of estimated financial liability after insurance has been verified. Identifies accounts eligible for medical assistance and forwards to the Financial Counselor. Documents all insurance benefits accurately and legibly. Completes all insurance verification before admission and /or treatment services rendered according to established policies and procedures. Provides copies of Medi-Cal POS slips to appropriate departments.

REQUIREMENTS:

  • Minimum Experience: 6 months experience preferred

Benefits:

  • Medical, dental and vision coverage is provided for all full time and part time employees*
  • Employee Assistance Program
  • Basic Life and AD&D
  • 401k plan with company match
  • Generous PTO plan*
  • Pet Insurance Discount Program*
  • Employee Discount Program*
    • Per diem staff ineligible

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